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Preparing for your appointment
By Mayo Clinic staffBroken heart syndrome is often diagnosed in an emergency setting, since many people with the condition think they're having a heart attack.
If you think you may have experienced an episode of broken heart syndrome, or are worried about your risk, make an appointment with your family doctor.
Because appointments can be brief, and because there's often a lot of ground to cover, it's a good idea to be prepared for your appointment. Here's some information to help you get ready for your appointment, and what to expect from your doctor.
What you can do
- Be aware of any pre-appointment restrictions. At the time you make the appointment, be sure to ask if there's anything you need to do in advance, such as restrict your diet.
- Write down any symptoms you're experiencing, including any that may seem unrelated to broken heart syndrome.
- Write down key personal information, including a family history of heart disease, stroke, high blood pressure or diabetes, and any major stresses or recent life changes.
- Make a list of all medications, as well as any vitamins or supplements, that you're taking.
- Take a family member or friend along, if possible. Sometimes it can be difficult to soak up all the information provided to you during an appointment. Someone who accompanies you may remember something that you missed or forgot.
- Be prepared to discuss your diet and exercise habits. If you don't already follow a diet or exercise routine, be ready to talk to your doctor about any challenges you might face in getting started.
- Write down questions to ask your doctor.
Your time with your doctor is limited, so preparing a list of questions will help you make the most of your time together. List your questions from most important to least important in case time runs out. For broken heart syndrome, some basic questions to ask your doctor include:
- What is likely causing my symptoms or condition?
- What are other possible causes for my symptoms or condition?
- What should I do if these symptoms happen again?
- What kinds of tests will I need?
- What is the best course of action?
- What foods should I eat or avoid?
- What's an appropriate level of physical activity?
- What are the alternatives to the primary approach that you're suggesting?
- I have other health conditions. How can I best manage them together?
- Are there any restrictions that I need to follow?
- Should I see a specialist? What will that cost, and will my insurance cover seeing a specialist? (You may need to ask your insurance provider directly for information about coverage.)
- Is there a generic alternative to the medicine you're prescribing me?
- Are there any brochures or other printed material that I can take home with me? What Web sites do you recommend visiting?
In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask questions during your appointment at any time that you don't understand something.
What to expect from your doctor
Your doctor is likely to ask you a number of questions. Being ready to answer them may reserve time to go over any points you want to spend more time on. Your doctor may ask:
- When did you first begin experiencing symptoms?
- Have your symptoms been continuous, or occasional?
- How severe are your symptoms?
- What, if anything, seems to improve your symptoms?
- What, if anything, appears to worsen your symptoms?
- Are you depressed or stressed?
- What kind of support do you have to cope with your stress?
- Reeder GS. Stress-induced (takotsubo) cardiomyopathy. http://www.uptodate.com/index. Accessed Jan. 12, 2009.
- Wittstein IS, et al. Neurohumoral features of myocardial stunning due to sudden emotional stress. New England Journal of Medicine. 2005;352:539.
- Wittstein IS. The broken heart syndrome. Cleveland Clinic Journal of Medicine. 2007;7:S17.
- Gianni M, et al. Apical ballooning syndrome or takotsubo cardiomyopathy: A systematic review. European Heart Journal. 2006;27:1523.
- Merli E, et al. Tako-Tsubo cardiomyopathy: New insights into the possible underlying pathophysiology. European Journal of Echocardiography. 2006;7:53.
- Prasad A (expert opinion). Mayo Clinic. Rochester, Minn. Jan. 19, 2009.
